SearchMississippi208000000X

Jordan White

NPI 1861256307 · on the registry since 2024 · sole proprietor

Practice

Address
4820 Northampton Dr
Jackson, MS 39211
Phone
(601) 616-1710

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
390200000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi